Provider Demographics
NPI:1215648860
Name:ALAWAMI, SUKAYNAH HADI (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:SUKAYNAH
Middle Name:HADI
Last Name:ALAWAMI
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13909 STONE TABLE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-0149
Mailing Address - Country:US
Mailing Address - Phone:312-929-7366
Mailing Address - Fax:
Practice Address - Street 1:5328 COLDWATER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-5445
Practice Address - Country:US
Practice Address - Phone:260-471-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013969A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics